Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.75 / $4,771.00 / $8,920.00	Facility		$301.75	$4,771.00	$8,920.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.80 / $150.88 / $359.79	Facility	52	$148.80	$150.88	$359.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $789.83 / $1,140.85	Facility		$294.83	$789.83	$1,140.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $294.72 / $525.00	Professional		$245.60	$294.72	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.14 / $368.48 / $502.94	Facility		$269.14	$368.48	$502.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $273.11 / $355.03 / $606.04	Facility		$273.11	$355.03	$606.04
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00